Organization Active NPI

Mountain Rose Counseling

  • Point of Service
  • Lafayette, CO
National Provider Identifier
1104367366
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
LPCC.0015196 Issued in CO
Legal business name
MOUNTAIN ROSE COUNSELING
Practice address
260 S 112TH St
Lafayette, CO 80026-9031
Phone
(303) 647-5950
NPI assigned
Mar 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Miranda Dee Calhoun, M.A. LPCC
Title
Owner
Phone
(720) 495-1616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X LPCC.0015196 CO Primary

Addresses

Primary practice location

260 S 112TH St
Lafayette, CO 80026-9031

Mailing address

4855 Edison Ave Apt 114
Boulder, CO 80301-5429
Phone (720) 495-1616

Other names 1

  • Mountain Rose Counseling for Emotional Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1104367366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 EDISON AVE APT 114",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803015429",
            "telephone_number": "720-495-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S 112TH ST",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800269031",
            "telephone_number": "303-647-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN ROSE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "CALHOUN",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-495-1616",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A. LPCC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CO",
            "license": "LPCC.0015196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Rose Counseling for Emotional Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.